ABSTRACT #1

ATTITUDES AND PERSPECTIVES OF ADVANCED HOSPITAL -BASED PEDIATRIC TRAINEES TOWARDS POINT OF CARE ULTRASOUND

Maytal

Firnberg

PURPOSE AND GOALS: This is a needs assessment evaluating the attitudes, barriers, and perspectives of advanced hospital-based pediatric trainees towards point-of-care ultrasound (POCUS).

METHODS: A mixed quantitative and qualitative survey was distributed to a convenience sample of advanced hospital- based pediatric trainees (pediatric emergency medicine fellows, pediatric hospitalist fellows, and pediatric ICU fellows) prior to the initiation of a POCUS educational curriculum in January 2023. The survey included questions regarding the type of trainee, prior exposure and comfort with POCUS, attitude towards POCUS, interest in various POCUS applications, barriers to POCUS training, and the preferred frequency of educational sessions. Likert’s five-point scale was used to quantify respondents’ attitude on statements regarding POCUS. The survey was administered through Qualtrics. Data was analyzed with descriptive statistics.

EVALUATION PLAN: This is a needs assessment prior to curriculum implementation. After curriculum implementation, further evaluation data may be obtained.

SUMMARY OF RESULTS: Advanced hospital based pediatric trainees see value in learning POCUS and perceive it as a useful skill to learn for their future careers. They currently do not feel they have much exposure in their training programs. Trainees were most interested in learning procedural guidance and lung applications. Multiple barriers were identified by the trainees for learning and using POCUS with uncertainty of how to review or share images being the most common. Further work is needed to evaluate the best ways to mitigate barriers and to develop a standardized POCUS curriculum across training programs in the pediatric hospital.

REFLECTIVE CRITIQUE: The needs assessment was reviewed both by internal Mt Sinai and external PEM POCUS experts who made suggestions with reframing questions and reviewing the data.